Bakkiam Subbiah Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

BAKKIAM SUBBIAH INC

Practice address

11074 Coniston Way
Windermere, FL 34786-5408

Phone

(407) 765-3003

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bakkiam Subbiah, MD

Title

President

Phone

(407) 765-3003

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1740524800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11074 CONISTON WAY",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865408",
            "telephone_number": "407-765-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11074 CONISTON WAY",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865408",
            "telephone_number": "407-765-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKKIAM SUBBIAH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "SUBBIAH",
        "authorized_official_first_name": "BAKKIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-765-3003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.